Location: New Hartford,NY, USA
The Company
At Utica National Insurance Group, 1,400 employees countrywide take our corporate promise to heart every day: To make people feel secure, appreciated, and respected. Utica National Insurance Group is an AM Best A rated $1.5B award-winning, nationally recognized property & casualty insurance carrier. Operating along the Eastern half of the United States, based in our Home Office in Central New York, with Regional Office locations including Boston, NYC, Chicago, Atlanta, and Dallas.
The SIU Analyst is responsible for the recognition of potential fraud within claims and policies (Utica Mutual and Founders). They will use fraud analytics, or outside sources such social media to identify suspected fraudulent submissions.
What you will do
* Conducts investigations of assigned claims suspected of insurance fraud and other irregularities with a focus on thoroughness, quality, with attention to detail, timeliness and cost control.
* High degree of integrity and confidentiality required handling information that is considered personal and confidential.
* Ensures assigned cases are investigated and reported back to S.I.U. Manager within prescribed time allowance.
* Customer service and relationship/team building by maintaining contact during the course of investigation with the company's claim service, and underwriting departments.
* Encourages and participates in open communication with all Utica National in an effort to make claims operations more efficient and effective.
* Provides factual information gathered in investigations to Underwriting for purposes of evaluating risk.
* Maintains and fosters best possible relationship with the general public with special emphasis towards the following groups: policyholders, claimants, sales, and attorneys-at-law.
* Develops a network of resources within the community and maintains high degree of rapport and cooperation with federal, state, and local governmental agencies, as well as private information bureaus that can assist in investigative efforts.
* Testifies in civil and criminal courts.
* Maintains and pursues technical competency within area of specialization by attending insurance fraud seminars and other company-sponsored courses.
Additional Responsibilities:
* May be responsible for guiding and training other investigators or claims staff with fraud training under the direction of the SIU Manager.
* May run special projects or initiatives with the planning and implementation responsibilities and accountability for outcome under the direction of the SIU Manager.
* Participates in professional organizations.
* Some contact with counsel may involve evenings or traveling to jurisdictions for depositions on behalf of the company.
* Assist in security issues involving company personnel and fraud matters.
* Assist Law Enforcement agencies involving requests for information and documentation on criminal matters.
* Some contact with counsel may involve evenings or traveling to jurisdictions for depositions on behalf of the company.
* Performs other duties as assigned.
* Conforms with all corporate policies and procedures.
Education:
* Bachelor's degree in criminal justice or a related field, and/ or equivalent experience; SCLA designation preferred that includes completion of the Fraud Claims Law Associate courses.
* Should obtain SCLA Silver and Gold designations.
* Encouraged to pursue Auto Theft Investigator designations, Certified Fraud Examiner (CFE) designation and Certified Insurance Fraud Investigator (CIFI) designation and other acceptable insurance course work.
Experience:
* 5-10 ten years of insurance claims investigation experience or professional investigation experience with law enforcement agencies or in excess of ten years of.
Salary Range: $63,600-$95,300
Benefits:
We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following:
* Medical and Prescription Drug Benefit
* Dental Benefit
* Vision Benefit
* Life Insurance and Disability Benefits
* 401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results)
* Health Savings Account (HSA)
* Flexible Spending Accounts
* Tuition Assistance, Training, and Professional Designations
* Company-Paid Family Leave
* Adoption/Surrogacy Assistance Benefit
* Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance
* Student Loan Refinancing Services
* Care.com Membership with Back-up Care, Senior Solutions
* Business Travel Accident Insurance
* Matching Gifts program
* Paid Volunteer Day
* Employee Referral Award Program
* Wellness programs
Additional Information:
This position is a full time salaried, exempt (non overtime eligible) position.
Utica National is an Equal Opportunity Employer.
Apply now and find out what it's like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy.
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